NC SELECT DRUG LIST July 2026

North Carolina Medicaid maintains a NC Select Drug List. Drugs appearing on the NC Select Drug List shall be carved out of the inpatient DRG or outpatient RCC and claimed separately to allow the state to capture rebates.

• Drugs appearing on the NC Select Drug List administered in an inpatient hospital setting shall be reimbursed directly to the hospital based on the ingredient component of the NC Select Drug at the Actual Acquisition Cost net of all discounts and rebates received by the hospital.
• Drugs appearing on the NC Select Drug List administered in an outpatient hospital setting shall be reimbursed directly to the hospital based on the ingredient component of the NC Select Drug at the lesser of the Actual Acquisition Cost or Average Sales Price net of all discounts and rebates received by the hospital.
• Drugs appearing on the NC Select Drug List administered in an outpatient professional setting shall be made directly to the provider based on the ingredient component of the NC Select Drug at the lesser of the Actual Acquisition Cost or Average Sales Price net of all discounts and rebates received by the provider.
• Drugs on the NC Select Drug List are carved out of 340B. Providers may not utilize 340B inventory for NC Medicaid members for those